Organization
PAIN CLINIC MANAGEMENT GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PETER DO (MEMBER)
(586) 978-7250
Entity
Organization
Contact information
Practice address
35634 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-4288
(586) 978-7250
Mailing address
PO BOX 772211, DETROIT, MI 48277-2211
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
03/11/2026
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